Safety and Efficacy of Sutureless 23G Pediatric Cataract Surgery

Sunday, April 19, 2015: 4:11 PM
Room 1B (San Diego Convention Center)
Ayman M. Elsayed, MD, FRCS
Ayman Lotfy, MD
Ahmed Samir, MD

Sutureless 23G pediatric cataract surgery is used as surgical tool for anterior capsulorhexis (ACCC), irrigation, aspiration and posterior capsulorhexis (PCCC) in pediatric cataract.

A prospective consecutive randomized clinical trial of 29 patients less than two years old underwent bilateral pediatric cataract surgeries. These patients were divided into two equal groups. Group A underwent manual ACCC and PCCC. Group B underwent sutureless 23 G vitreorrhexis. For every patient, one eye was randomly distributed for one group and the other for other group.

Extension of the PCCC in (6.89%) in Group A and in (10.34%) in Group B (p=0.5). Surgical time in the manual capsulorrhexis group averaged about 26.5±3.2 min, while that of the vitrectorrhexis group was 17.2±2.3 min (p=0.003).

Sutureless 23G pediatric cataract extraction, ACCC, PCCC and anterior vitrectomy by 23G vitrectomy probe is an easy to learn alternative to manual ACCC and PCCC in pediatric cataract surgery.